The efficacy of endovascular therapy in patients with acute ischemic
stroke due to tandem occlusion is comparable to that for isolated intracranial
occlusion in the anterior circulation. Definitive
treatment of carotid dissection-related strokes is currently unproved.
The best endovascular technique in this setting remains to be established, but
emergency carotid artery stenting (CAS) is frequently considered. We
investigated the safety and efficacy of emergency CAS for carotid dissection in
patients with acute stroke in current clinical practice.
References
[1]
Ifergan, H., Reiner, P., Simonato, D., et al. (2023) Early Ischemic Recurrence in Acute Spontaneous Cervical Artery Dissection. Journal of Neuroradiology, 50, 523-529.
https://doi.org/10.1016/j.neurad.2023.03.001
[2]
Shimizu, H., Ono, T., Abe, T., et al. (2023) Current Treatment Results of Intracranial Carotid Artery Dissection Causing Cerebral Ischemia: A Japanese Nationwide Survey. Neurologia Medico-Chirurgica (Tokyo), 63, 80-89.
https://doi.org/10.2176/jns-nmc.2022-0249
[3]
Farouk, M., Sato, K., Matsumoto, Y., et al. (2020) Endovascular Treatment of Internal Carotid Artery Dissection Presenting with Acute Ischemic Stroke. Journal of Stroke and Cerebrovascular Diseases, 29, Article ID: 104592.
https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104592
[4]
Marnat, G., Lapergue, B., Sibon, I., et al. (2020) Safety and Outcome of Carotid Dissection Stenting during the Treatment of Tandem Occlusions: A Pooled Analysis of TITAN and ETIS. Stroke, 51, 3713-3718.
[5]
Perry, B.C. and Al-Ali, F. (2013) Spontaneous Cervical Artery Dissection: The Borgess Classification. Frontiers in Neurology, 4, 133.
https://doi.org/10.3389/fneur.2013.00133